Section 258.155 - Permit Required(a) The board shall issue permits to administer anesthesia in the following categories based on the extent to which the intended procedure will alter the patient's mental status and the method of anesthetic delivery: (2) level 1: minimal sedation;(3) level 2: moderate sedation (enteral administration);(4) level 3: moderate sedation (parenteral administration); and(5) level 4: deep sedation or general anesthesia.(b) A dentist may not administer anesthesia unless the dentist obtains the appropriate permit issued under this section.(c) The board shall set and impose a fee for issuance of a permit in an amount designed to recover the costs of regulating a permit holder under this subchapter.(d) The board shall coordinate the times at which a permit must be renewed with the times at which a dentist's license must be renewed under Chapter 257 so that the times of registration, payment, notice, and imposition of penalties for late payment are similar and provide a minimum of administrative burden to the board and to dentists.Amended by Acts 2017, Texas Acts of the 85th Leg. - Regular Session, ch. 295,Sec. 23, eff. 3/1/2018.Added by Acts 2001, 77th Leg., ch. 349, Sec. 1, eff. 9/1/2001.